Three Village Central School District

Primary specialty

Local Education Agency (LEA)Taxonomy code 251300000X

Legal business name

THREE VILLAGE CENTRAL SCHOOL DISTRICT

Practice address

100 Suffolk Ave
Stony Brook, NY 11790-1821

Phone

(631) 730-4541

Fax

(631) 751-0074

NPI assigned

Jan 16, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Cheryl Pedisich

Title

Executive Director of PPS

Phone

(631) 790-4541

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Three Village Central School District2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Three Village Central School District

  • Speech-Language Pathologist
  • Setauket, NY
  • NPI 1306114392
  NPD tax ID

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1168905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1700937497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 SUFFOLK AVE",
            "city": "STONY BROOK",
            "state": "NY",
            "postal_code": "117901821",
            "telephone_number": "631-730-4541",
            "fax_number": "631-751-0074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 SUFFOLK AVE",
            "city": "STONY BROOK",
            "state": "NY",
            "postal_code": "117901821",
            "telephone_number": "631-730-4541",
            "fax_number": "631-751-0074"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THREE VILLAGE CENTRAL SCHOOL DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PEDISICH",
        "authorized_official_first_name": "CHERYL",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR OF PPS",
        "authorized_official_telephone_number": "631-790-4541"
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01378789",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Donald Jeffrey Thommes, MD
• Cindy Thompson, CRNA
• Crystal Nicole Thompson, MD
• Kimberly Thompson
• Lewis John Rubin Thompson, MD
• Three Village Medical, PC
• Three Village Orthodontics
• Three Village Physical Therapy PLLC
• Vishal Mano Thubrikar, M.D.
• Changtai Tian, MD

• Local Education Agency (LEA) in Stony Brook, NY
• Providers in Stony Brook, NY by specialty
• Local Education Agency (LEA) in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.